Managed care Correct Answer: the dominant health care delivery system in the United States
Medicare Correct Answer: Governmental health program providing coverage to the elderly, the
disabled, and end-stage renal disease patients.
Medicaid Correct Answer: largest provider of long-term care coverage in the United States
Capitation Correct Answer: payment method that covers all services an enrollee may need during an
entire year
Which of the following is NOT among the main characteristics of the U.S. health care system, as
discussed in the text? Correct Answer: Trend towards less integration and accountability
Which of the following is NOT true regarding managed care, as the term is explained in the assigned
reading from the text? Correct Answer: it necessarily employs quality control management measures to
assure enrollees receive treatment that adheres to an established standard of care
Which of the following is NOT a component the health care safety net in the United States, as assigned
reading from the text? Correct Answer: employee wellness programs
Which of the following is NOT one of the three regulations identified by T.R. Reid that are present in
other developed countries that have a generally well-functioning market-based health system? Correct
Answer: Co-payments or deductibles that require patients to make at least some out-of-pocket
expenditures.
The U.S. safety net is for the nation's most vulnerable populations, such as the uninsured, the poor, and
minority groups. Correct Answer: TRUE
The U.S. government plays a limited role in the health delivery system. The government's role in the
arena of health care delivery consists of: Correct Answer: being the financially responsible party for
health care delivered through Medicare and Medicaid programs.
How do uninsured populations access medical care? Correct Answer: Through safety net providers
Which of the following best describes the typical income of primary care physicians in Germany
compared to such physicians in the United States? Correct Answer: German primary care physicians
make approximately 2/3 what American primary care physicians make, but German physicians have
much lower overhead expenses (e.g., medical malpractice insurance premiums, medical school debt,
etc.)
What is the insurance program for the U.S. military? Correct Answer: Tricare
Which of the following best describes a shortcoming of Great Britan's health system discussed in "Sick
Around the World"? Correct Answer: Waiting periods to receive care such as heart operations and hip
replacements
, Two types of financing mechanisms commonly used in managed care plans are capitation and
discounted fees. Correct Answer: TRUE
Capitation is Correct Answer: financing of a managed care organization.
Which of the following best descibes the ownership of hospitals and physician offices in Japan? Correct
Answer: Approximately 80% of hospitals in Japan are privately owned and nearly all physician offices
are privately owned.
As explained in the assigned reading, which of the following best describes a group of organizations
responsible for providing the full continuum of care to a defined population, and is willing to be held
both fiscally and clinically accountable for the health outcomes and status of that population? Correct
Answer: IDS
According to the "Sick Around the World" video, individuals who receive health care through the
Veteran's Administration health system in the United States are in a system most similar to which of the
following? Correct Answer: Great Britains
The ideology system that emphasizes the well-being of the community over an individual is called the:
Correct Answer: Social Justice system
Medicaid is a government-based program intended to cover the eligible poor, determined by income
level. Correct Answer: TRUE
Which of the following is NOT one of the key assumptions of the principle of social justice, as applied to
health care? Correct Answer: People, in consultation with their physicians, know what is best for
themselves.
The Pan-American Health Organization (PAHO) moved focus away from building primary care capacity
and toward implementing disease-specific interventions. Correct Answer: FALSE
In preindustrial America, even untrained people could practice medicine. Correct Answer: TRUE
Which of the following are characteristics of the Medical Care Determinants of Health? Correct Answer:
Whereas some services (preventive and primary care) contribute to general health status, others are
more influential in end-of-life situations (hospice and long-term care).
A sudden heart attack would be classified as which of the following? Correct Answer: Acute
What type of justice is based on people's willingness and ability to pay? Correct Answer: Market
In Preindustrial America, the destitute and disruptive elements of society were confined in a(n): Correct
Answer: Almshouse
Policy Interventions Correct Answer: The enactment of the Occupation Safety and Health Act (OSHA) of
1970 to protect employees from unsafe working conditions.